Deep learning-based polygenic risk analysis for Alzheimer’s disease prediction

Xiaopu Zhou,Yu Chen, Fanny C.F. Ip,Yuanbing Jiang, Han Cao, Ge Lv,Huan Zhong,Jiahang Chen,Ye Tao, Yuewen Chen, Yulin Zhang, Shuangshuang Ma,Ronnie M N Lo, Estella P.S. Tong,Michael W. Weiner,Paul S. Aisen,Ronald C. Petersen,Clifford R. Jack,William J. Jagust,John Q. Trojanowski,Arthur W. Toga,Laurel A. Beckett,Robert C. Green,Andrew J. Saykin,John Morris,Leslie M. Shaw, Zaven S. Khachaturian, Greg Sorensen,Lew Kuller,Marcus E. Raichle,Steven M. Paul, P. D. O. Davies,Howard Fillit, Franz Hefti,David M. Holtzman, M. Marcel Mesulam,William Z. Potter,Peter J. Snyder, Adam J. Schwartz, Tom Montine, Ronald G. Thomas, Michael Donohue, Sarah Walter, Devon Gessert, Tamie Sather, Gus Jiminez,Danielle Harvey,Matt A. Bernstein,Paul M. Thompson,Norbert Schuff,Bret Borowski, Jeff Gunter,Matt Senjem,Prashanthi Vemuri,David T. Jones,Kejal Kantarci, Chad Ward,Robert A. Koeppe, Norm Foster,Eric M. Reiman,Kewei Chen,Chet Mathis, Susan Landau,Nigel J. Cairns, Erin Householder, Lisa Taylor‐Reinwald, Virginia Lee,Magdalena Korecka, Michal Figurski, Karen Crawford, Scott Neu,Tatiana Foroud,Steven G. Potkin,Li Shen, Kelley Faber, Sungeun Kim,Kwangsik Nho, Leon J. Thal,Neil S. Buckholtz, Marylyn Albert, Richard A. Frank, John K. Hsiao,Jeffrey Kaye, Joseph F. Quinn,Betty Lind, Raina Carter, Sara Dolen,Lon S. Schneider,Sonia Pawluczyk, Mauricio Beccera, Liberty Teodoro, Bryan M. Spann,James B. Brewer, Helen Vanderswag,Adam Fleisher,Judith L. Heidebrink,Joanne Lord, Sara S. Mason, Colleen S. Albers,David S. Knopman, Kris Johnson,Rachelle S. Doody,Javier Villanueva-Meyer, Munir Chowdhury, Susan Rountree, Mimi Dang,Yaakov Stern,Lawrence S. Honig,Karen L. Bell,Beau M. Ances,Maria Carroll, Sue Leon, Mark A. Mintun, Stacy Schneider, Angela Oliver,Daniel C. Marson,Randall Griffith,David W. Clark,David S. Geldmacher, John Brockington,Erik D. Roberson, Hillel Grossman, Effie Mitsis, Leyla de Toledo‐Morrell,Raj C. Shah,Ranjan Duara, Daniel Varón,Maria T. Greig, Peggy Roberts, Chiadi U. Onyike, Daniel D’Agostino, Stephanie Kielb,James E. Galvin, Brittany Cerbone, Christina A. Michel,Henry Rusinek,Mony J. de Leon,Lidia Glodzik,Susan De Santi, P. Murali Doraiswamy, Jeffrey R. Petrella, Terence Z. Wong,Steven E. Arnold,Jason Karlawish,David A. Wolk, Charles D. Smith, Greg Jicha, Peter Hardy, Partha Sinha, Elizabeth Oates, Gary Conrad,Oscar L. López, MaryAnn Oakley, Donna M. Simpson, Anton P. Porsteinsson, Bonnie S. Goldstein, Kim Martin, Kelly M. Makino, M. Saleem Ismail, Connie Brand, Ruth A. Mulnard, Gaby Thai, Catherine Mc-Adams-Ortiz,Kyle Womack, Dana Mathews, Mary Quiceno,Ramon Diaz-Arrastia, Richard King,Myron Weiner, Kristen Martin-Cook,Michael D. Devous,Aĺlan I. Levey,James J. Lah, Janet S. Cellar, Jeffrey M. Burns, Heather S. Anderson, Russell H. Swerdlow, Liana G. Apostolova,Kathleen Tingus, Ellen Woo,Daniel Silverman, Po H. Lu,George Bartzokis,Neill R. Graff‐Radford,Francine Parfitt, Tracy Kendall,Heather Johnson,Martin R. Farlow, Ann Marie Hake,Brandy R. Matthews, Scott Herring, Cynthia Hunt,Christopher H. van Dyck,Richard E. Carson, Martha G. MacAvoy,Howard Chertkow,Howard Bergman, Chris Hosein,Ging‐Yuek Robin Hsiung,Howard Feldman, Benita Mudge, Michele Assaly, Charles Bernick, Donna Munic,Andrew Kertesz, John Rogers, Dick Trost, Diana Kerwin, Kristine Lipowski,Chuang‐Kuo Wu, Nancy Johnson, Carl Sadowsky, Walter Martínez, Teresa Villena,Raymond Scott Turner,Kathleen Johnson,Brigid Reynolds,Reisa A. Sperling,Keith A. Johnson,Gad A. Marshall, Meghan Frey,Barton Lane, Allyson Rosen,Jared R. Tinklenberg,Marwan N. Sabbagh, Christine M. Belden,Sandra A. Jacobson, Sherye A. Sirrel,Neil W. Kowall,Ronald Killiany,Andrew E. Budson, Alexander Norbash, Patricia Johnson, Joanne Allard, Alan J. Lerner, Paula Ogrocki, Leon Hudson,Evan Fletcher, Owen Carmichael,John Olichney,Charles DeCarli,Smita Kittur,Michael Borrie,Lee Ty, Rob Bartha,Sterling C. Johnson, Sanjay Asthana,Cynthia M. Carlsson,Adrian Preda, Dana Nguyen,Pierre N. Tariot, Stephanie Reeder, Vernice Bates, Horacio Capote, Michelle Rainka, Douglas W. Scharre,Maria Kataki,Anahita Adeli,Earl A. Zimmerman,Dzintra Celmins, Alice D. Brown,Godfrey D. Pearlson, Karen Blank, Karen Anderson, Robert B. Santulli, Tamar J. Kitzmiller, Eben S. Schwartz,Kaycee M. Sink,Jeff D. Williamson, Pradeep Garg, Franklin Watkins,Brian R. Ott, Henry Querfurth, Geoffrey Tremont, Stephen Salloway,Paul Malloy, Stephen Correia,Howard J. Rosen,Bruce L. Miller, Jacobo Mintzer, Kenneth Spicer, David Bachman,Stephen Pasternak, Irina Rachinsky, Dick J. Drost,Nunzio Pomara,Raymundo Hernando, Antero Sarrael, Susan K. Schultz, Laura L. Boles Ponto, Hyungsub Shim,Karen E. Smith,Norman Relkin, Gloria Chaing, Lisa Raudin,Amanda D. Smith, Kristin Fargher,Balebail Ashok Raj,Thomas C. Neylan, Jordan Grafman, Melissa Davis, Rosemary Morrison, Jacqueline Hayes, Shannon Finley, Karl E. Friedl, Debra Fleischman, Konstantinos Arfanakis,Olga James, Dino Massoglia, J. Jay Fruehling, Sandra Harding,Elaine R. Peskind, Eric C. Petrie,Gail Li,Jerome A. Yesavage, Joy L. Taylor,Ansgar J. Furst,Vincent Mok,Timothy Kwok,Qihao Guo,Kin Y. Mok,Maryam Shoai,John Hardy,Lei Chen,Amy Kit Yu Fu,Nancy Y. Ip

Communications Medicine(2023)

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摘要
Abstract Background The polygenic nature of Alzheimer’s disease (AD) suggests that multiple variants jointly contribute to disease susceptibility. As an individual’s genetic variants are constant throughout life, evaluating the combined effects of multiple disease-associated genetic risks enables reliable AD risk prediction. Because of the complexity of genomic data, current statistical analyses cannot comprehensively capture the polygenic risk of AD, resulting in unsatisfactory disease risk prediction. However, deep learning methods, which capture nonlinearity within high-dimensional genomic data, may enable more accurate disease risk prediction and improve our understanding of AD etiology. Accordingly, we developed deep learning neural network models for modeling AD polygenic risk. Methods We constructed neural network models to model AD polygenic risk and compared them with the widely used weighted polygenic risk score and lasso models. We conducted robust linear regression analysis to investigate the relationship between the AD polygenic risk derived from deep learning methods and AD endophenotypes (i.e., plasma biomarkers and individual cognitive performance). We stratified individuals by applying unsupervised clustering to the outputs from the hidden layers of the neural network model. Results The deep learning models outperform other statistical models for modeling AD risk. Moreover, the polygenic risk derived from the deep learning models enables the identification of disease-associated biological pathways and the stratification of individuals according to distinct pathological mechanisms. Conclusion Our results suggest that deep learning methods are effective for modeling the genetic risks of AD and other diseases, classifying disease risks, and uncovering disease mechanisms.
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